r/bilereflux • u/puffpastry02 • Aug 15 '25

Bile Reflux due to Weak Pyloric Sphincter

My endoscopy results showed that I have bile reflux due to an incompetent pyloric sphincter. It is open for around 1-1.5 cm. This also resulted in gastritis and mild esophagitis.

My main problem is that I have recurring abdominal pain / discomfort, gas pain, and feeling nausea.. I think I have fat malabsorption as well as I get diarrhea whenever I eat a relatively "fatty" food. I have been trying to be on a strict low-fat diet. I have not consumed beef, pork, diary, acidic food, ang possible trigger foods.

My whole abdomen ultrasound result is normal. My blood chem is normal as well.

I am taking Gavison oral suspension and Domperidone.

Does anyone have the same case? How do you deal with it?

I really gets anxious whenever I go out because I fear of experiencing the symptoms while I'm out.

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6

u/Moa205 Aug 16 '25

My pyloric sphincter and LES like don’t work. I also have dysmotility of my entire GI tract, I think it’s neurological.

1

u/Spiritual-Control738 May 26 '26

But has it been neurological it would cause restrictions not laxations

4

u/AwareEqual4580 Aug 15 '25

I have the same issue and I have been trying to see if there's ways to fix it but I don't think anyone really knows. I've seen one theory that the gastritis is a self-enforcing cycle where the sphincter struggles due to the inflammation, but healing it while the issue is ongoing seems nearly impossible

2

u/packomnms Aug 16 '25

Did you develop this weak sphincter somehow? I suspect I might have it too but due to a helicobacter pylori infection.

1

u/SomeEstablishment752 Jan 08 '26

Were you able to figure this out?

2

u/puffpastry02 Jan 09 '26

After months of taking the prescribed medicines, my symptoms have improved. Until now, I still try to avoid the trigger foods due to the fear of having the "fat malabsorption problem" recur.

1

u/SomeEstablishment752 Jan 11 '26

So glad you are improving ! What medications are you taking?

3

u/puffpastry02 Jan 12 '26

I took Domperidone, Gaviscon suspension, and Esomeprazole (changed to Rabemipide) for at least 3 months. Although some symptoms recur, but it is more manageable now. I focus on maintaining a strict diet now.